JERRY L TYNER

FOUNTAIN VALLEY, CA
NPI1851704407
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  22360)
Enumeration Date2014-06-10
Last Update Date2014-06-10
Business Address
-- JERRY L TYNER
17350 MOUNT HERRMANN ST STE A
FOUNTAIN VALLEY, CA 92708-4114
Phone number: 714-444-3463
Mailing Address
-- JERRY L TYNER
17350 MOUNT HERRMANN ST STE A
FOUNTAIN VALLEY, CA 92708-4114
Phone number: 714-444-3463
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